2014 JA Fun Day

Latitude 39
4016 E 82nd St
Indianapolis, IN 46250
(317) 813-6565

Saturday, November 1st
10:00am to 2:00pm

SAVE THE DATE!!
Come to our JA Family Fun Day!! There will be educational sessions to learn more about juvenile arthritis, fun activities for the kids, and networking opportunities. This event is free, but you must register.

Are you 16 or older? Come out and volunteer with the Arthritis Foundation. We are looking for teens with JA to come out and help during our kids time!

Free event! Pre-Registration RequiredLast day to Register Online is October 26th. If you need to register after the registration date, please email mguadalupe@arthritis.org for details.

Location:

Latitude 39

4016 E 82nd St

Indianapolis, IN 46250

Name

Location

Start Date

Start Time

End Date

End Time

Last Day to Register Online

10/26/2014

11:59 PM

JA Fun Day

11/01/2014

10:00 AM

11/01/2014

02:00 PM

* required information

Registration

Parent/Guardian Information

Attendee is a:*

First Name:*

Last Name:*

Email:*

Address Line 1:*

Address Line 2:

City:*

State:*

ZIP/Postal Code:*

Country:

Phone:

Do you have arthritis?:*

Yes
No
Prefer not to answer

What type of arthritis affects you the most?:

I'm interested in being an Arthritis Foundation advocate:

Yes
No

I'm interested in being an Arthritis Foundation volunteer:

Yes
No

Fees

Directions: Please provide the total number of people in your party (including yourself) attending the event in the quantity box below. The next page will ask you to submit and then prompt you to fill in the other guest’s names and information. (this is required)

$0.00

StandardAttendee Registration

Quantity:*

Total Cost:

$

Donation

Amount:

$

Note: I hereby grant the Arthritis Foundation specific permission to reproduce, publish, circulate, copyright or otherwise use any and all photographs and/or videotape of me and/or my guests, taken at this event, for use by the Arthritis Foundation.